Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.43 / $122.43 / $122.43	Facility	26	$122.43	$122.43	$122.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $232.99 / $787.64	Professional		$208.11	$232.99	$787.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.78 / $63.40 / $207.97	Professional	26	$48.78	$63.40	$207.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.46 / $169.58 / $250.91	Professional	TC	$151.46	$169.58	$250.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $250.28	Professional		$58.89	$58.89	$250.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $70.00	Facility	26	$58.89	$58.89	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.01 / $250.28 / $405.97	Professional		$197.01	$250.28	$405.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.06 / $59.80 / $99.84	Professional	26	$50.06	$59.80	$99.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.16 / $191.39 / $287.56	Professional	TC	$150.16	$191.39	$287.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $70.00	Facility	26	$58.89	$58.89	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $268.88 / $473.81	Professional		$166.49	$268.88	$473.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $50.06 / $58.89 / $67.52	Professional	26	$50.06	$58.89	$67.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $150.16 / $191.39 / $222.26	Professional	TC	$150.16	$191.39	$222.26
United Facility/Professional Professional Modifier Low / Median / High Price $233.57 / $273.77 / $365.43	Professional		$233.57	$273.77	$365.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.24 / $65.54 / $101.99	Professional	26	$54.24	$65.54	$101.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.69 / $207.10 / $256.64	Professional	TC	$172.69	$207.10	$256.64